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Questionnaire template

Generalized Anxiety Screening (GAD-7)

Screens adults for generalized anxiety symptoms over the past two weeks using the free seven-item GAD-7.

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Healthcare · Mental health assessment. All Healthcare templates

Questions in this template

Nervousness and Worry

  1. Thank you for taking part. The following questions ask about feelings of anxiety you may have had recently, and your answers are confidential.

  2. This questionnaire is the Generalized Anxiety Disorder 7-item scale (GAD-7), developed by Drs. Robert L. Spitzer, Kurt Kroenke, Janet B. W. Williams and Bernd Löwe. It is free to use without permission.

  3. Your result is a screening aid, not a diagnosis. If anxiety is affecting your life, please talk to a health professional.

  4. Over the last 2 weeks, how often have you been bothered by: Feeling nervous, anxious, or on edge?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

  5. Over the last 2 weeks, how often have you been bothered by: Not being able to stop or control worrying?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

  6. Over the last 2 weeks, how often have you been bothered by: Worrying too much about different things?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

Tension and Restlessness

  1. Over the last 2 weeks, how often have you been bothered by: Trouble relaxing?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

  2. Over the last 2 weeks, how often have you been bothered by: Being so restless that it is hard to sit still?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

Irritability, Fear and Daily Life

  1. Over the last 2 weeks, how often have you been bothered by: Becoming easily annoyed or irritable?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

  2. Over the last 2 weeks, how often have you been bothered by: Feeling afraid, as if something awful might happen?

    Choose one:

    • Not at all
    • Several days
    • More than half the days
    • Nearly every day

  3. If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?

    Asked only when (q_gad_nervous.outcome is not None and q_gad_nervous.outcome >= 2) or (q_gad_control_worry.outcome is not None and q_gad_control_worry.outcome >= 2) or (q_gad_worry_too_much.outcome is not None and q_gad_worry_too_much.outcome >= 2) or (q_gad_trouble_relaxing.outcome is not None and q_gad_trouble_relaxing.outcome >= 2) or (q_gad_restless.outcome is not None and q_gad_restless.outcome >= 2) or (q_gad_irritable.outcome is not None and q_gad_irritable.outcome >= 2) or (q_gad_afraid.outcome is not None and q_gad_afraid.outcome >= 2)

    Choose one:

    • Not difficult at all
    • Somewhat difficult
    • Very difficult
    • Extremely difficult